Primary & Community Health Services

Providing sustainable and integrated care.

Research Leads:

Professor Harm Van Marwijk, Brighton & Sussex Medical School, Primary and Community Health Services Theme Lead

Dr Samantha Fraser, Implementation Manager, Primary and Community Health Services -

Primary & Community Health Services Motif
Primary & Community Health Services Showcase


The PCHS theme encourages the users and providers of primary and community health care services to work together with us from the ground up to implement and evaluate new services, that fit local needs, encourage holistic person-centred care, promote health, involve the use of community assets to foster enablement, build resilience, and] improve wellbeing. 

PCHS sub-themes

  • Sustainable care for seldom heard groups– reducing health inequality. Our particular focus is on people living with multimorbidity/frailty/receiving homecare, caregivers, young people, asylum seekers/migrants/travellers, and black and ethnic minority groups. 
  • Service redesign and the provision of integrated care across settings to support people to live well with chronic conditions notably mental ill health, chronic pain, cancer, Long COVID, and medically unexplained conditions (using existing tools such as 
  • Promoting and evaluating new models of ‘Left Shifting Care’, which utilise other professionals embedded in the primary and community health care system e.g., social prescribers, link workers, and peer support and existing tools. 

Who is who/Our team

Click here to meet the Primary and Community Health Services team.




Current Projects

Migrant Mental Health

Migrant CoE image 002

Dr. Leanne Bogen-Johnston, Post Doc within ARC KSS Starting Well Theme and Sarah Newman, a student from the University of Sussex, have undertaken a mapping exercise of emotional wellbeing and mental health services for unaccompanied asylum-seeking children (UASC) across Kent, Surrey and Sussex. The report provides a high-level overview of key demographics and highlights the support services available in Surrey, Kent and Medway, Brighton and Hove, West and East Sussex. This report should be used to help support and inform implementation and future research.

Unaccompanied Asylum Seeking Children Mapping Report 2022

Migrant Mental Health Community of Experience Summary

Primary and Community Health Services Community Priority Setting with Public Members in Kent, Surrey, and Sussex

volunteering ge5325e34d 1920

Applied Research Collaboration Kent, Surrey and Sussex (ARC KSS) conducted a Community Priority Setting exercise to capture the views of members of the public on the areas of need within primary and community health services working with Public Advisors as collaborators.

Captured in the Community Priority Setting report, ARC KSS intends to use these insights to guide future research, to strengthen funding bids, and encourage further collaboration to improve primary and community health services.

For more information please contact Deborah Ikhile.

Long-Term Conditions

  • Implementing the Eating and Drinking Ability Classification System (EDACS) across health and social care settings for adults with cerebral palsy to improve share decision-making and eating and drinking outcome

    Click here for more

  • Receiving a life-altering diagnosis: How do individuals make sense of their chronic, incurable pain?

    Click here for more

  • Using upper extremity movement analysis to inform the treatment of shoulder pain

    Click here for more

  • Healthy Hearts Sussex (HHS)/ Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa: An implementation research – Sussex site (SPICES)

    Click here for more

  • Adaption of resilience-oriented interventions for young people with long-term conditions, primarily type 1 diabetes, drawing on a co-production approach.

  • How we can use GP practice data to identify functional and quality of life outcomes (bowel/bladder/sexual function) in men with prostate cancer after their first curative treatment, and how this might differ in marginalised or underserved groups

  • The H3 (home-hospital-home) study – a non-randomised feasibility intervention study investigating a digitally enabled colorectal cancer peri-operative pathway

  • COPD


  • Kent, Surrey and Sussex (KSS) Living Well with HIV: Coproducing pathways for integrating HIV and mental health services in Kent, Surrey, and Sussex

Mental Health and Learning Disability

  • Co-designing and testing an Asset-based TAsk-sharing modeL for Youth mental health Services in deprived communiTies (CATALYST)

    Click here for more

  • Increasing access to psychological interventions for perinatal obsessive-compulsive symptoms

  • Co-producing stigma-proof mental health interventions with and for newcomers (asylum seekers, refugees and migrants) in Southeast England

    Click here for more

  • Parents’ and practitioners' experiences and perceptions about Early Intervention (EI) for children, aged 0 to 6, within the health and welfare sector

  • Virtual consultations for people with learning disabilities, their families and healthcare providers: A co-design study to aid implementation in everyday practice

    Click here for more

Frailty, Multimorbidity, and EoLC

New models of Care/ Workforce

  • Social Prescribing during and after COVID-19: Mapping changes, impact and opportunities for working with older adults

    Click here for more

  • GP Mental Health Fellowship Scheme Evaluation

    Click here for more

  • Building a sustainable health community in East Surrey: Understanding the impact and implementation of Growing Health Together (GHT)

    Case Study: Growing Health Together 

  • Improving collaborative inter-agency systems and practice in self-neglect: identifying barriers and coproducing solutions

Methods, Assessment Tools and Digital Innovations

  • Primary and Community Health Services Priority Setting Exercise: Focus on Communities

    Click here for more

  • Developing an inclusive approach to multidimensional assessment of mental health symptoms in people in UK primary care (4DSQ)

  • Implementation of a risk prediction tool (RPT) to reduce medication-related harm (MRH) in older people post hospital discharge (PRIME 3)

  • Developing a social prescribing reporting template to improve evaluation and replication (SPoRTIER)

  • The Hospital-to-Home (H2H) Study – using smartwatch technology to support people following a hip fracture

    Click here for more

  • The H2H Study: Hospital-to-Home digitally enabled exercise pathways to improve older adult’s post-operative outcomes during the COVID-19 pandemic

  • The pilot implementation of the interRAI Self-Report of Carer Needs in Kent, Surrey and Sussex (interRAI SCaN KSS)

Communities of Experience

  • Migrant Community of Experience

  • Social Prescribing Community of Experience

Recite Me Accessibility Tools